Individual
BELINDA PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 OWEN LN, WACO, TX 76710-5558
(254) 772-8900
Mailing address
2669 QUEEN I RD, BREMOND, TX 76629-5196
(979) 324-9237
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
107067
TX
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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